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Author: Admin | 2025-04-28
Onset of their reflux problem was during or after taking a course of antibiotics, and in some cases, antibiotics and steroids. Let’s talk the antibiotics first: Some cause reflux, some don’t. In my experience, the antibiotics that cause the worst reflux are doxycycline (Vibramycin, Efracea, Periostat), amoxicillin (Amoxil), amoxicillin/clavulanate (Augmentin), and clindamycin (Cleocin).Fortunately, there are some powerful, broad-spectrum antibiotics ― ciprofloxin (Cipro) and azithromycin (Z-Pack) ― that do not seem to cause reflux at all. NB: However, ciprofloxin adversely affects tendons; and a large proportion of people who rupture their Achilles tendons were on ciprofloxin prior. (That happened to me.)Steroids are massively overused by doctors with significant untoward consequences. They should virtually never be given by walk-in clinic doctors. Steroids reduce inflammation, but do not fix the underlying problem. So, here’s what I see: the patient goes to ER with presumed sinusitis (actually caused by LPR reflux), and s/he gets Augmentin and Prednisone. No surprise here: Two weeks later when the steroids are gone, the reflux is much much worse than before with the sinus trouble again.Steroids will reduce inflammation in almost every inflammatory condition, but it is temporary benefit; and usually those with reflux are much worse off after the effects of the steroids abate. What Notorious Medications Don’t Cause Reflux?On the internet, drugs in the benzodiazepine group (below) are commonly listed among drugs that cause reflux; hoverer, there are no data on PubMed to indicate this is the case; and it has been my experience that these drugs
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